Confirmation of Capital Campaign Pledge

Yes! I will support the Capital Campaign with a tax-deductible gift to Crime Stoppers of Houston, Inc.

NAME (as you wish to see it in print): CONTACT NAME (if different): ADDRESS: CITY: STATE: ZIP: PHONE: EMAIL:

I wish to direct the Designated Use of my gift to the following Capital Campaign purpose*: ________________________________________________________________________________________.

I wish my Capital Campaign gift to be unrestricted.

PLEDGECapital Campaign Pledge Total: $_____________ (payable over 1-5 years)

Pledge Date:___________$____________ in 2016 $____________ in 2019$____________ in 2017 $____________ in 2020$____________ in 2018

By making the Pledge I acknowledge that Crime Stoppers of Houston, Inc. (i) will expend its own resources and make certain commitments relating to the Capital Campaign in reliance on the Pledge and (ii) may use the Pledge to solicit pledges and contributions from other donors.

Signature: ___________________________________________

METHOD OF PAYMENT Enclosed is my check in the amount of $_______________ (Checks payable to Crime Stoppers, Inc.)

Balance remaining on pledge (if any): $_______________

Please charge $_______________ to my credit card according to the schedule below:

Quarterly, beginning in _____________ 20___ and ending in _____________ 20___ Annually, beginning in _____________ 20___ and ending in _____________ 20___ Other payment schedule: ___________________________________________________

Card number: ________________________________________ Expiration Date: ____/____Name on card: ____________________________ Signature: ___________________________

I wish to make a gift in the form of publicly traded securities. Please contact me for details.

My gift is eligible for Matching Gift funds through: ________________________________________________.

ADDITIONAL INFORMATION I wish to remain anonymous. Please send me additional information regarding planned giving opportunities, such as bequests, real estate,

life insurance, and split-interest trusts. This gift is in honor/memory of: ______________________________________________________________.* All gifts to the Crime Stoppers of Houston, Inc. Capital Campaign are accepted subject to the terms of the Gift Acceptance Policy of Crime Stoppers of Houston, Inc. Should the Designated Use of this gift become obsolete, impracticable, illegal, or inconsistent with the mission of Crime Stoppers of Houston, Inc., Crime Stoppers of Houston, Inc. reserves the right to use the funding to support other needs of Crime Stoppers of Houston, Inc. as determined by the Executive Committee of its Board of Directors.

Crime Stoppers of Houston, Inc. is a nonprofit organization described by Section 501(c)(3) of the Internal Revenue Code.All contributions are tax deductible to the full extent allowable by law.

Thank you for your gift. For further information, please contact Rania Mankarious, Executive Director at rmankarious@crime-stoppers.org or 713-521-4600.

02/18/15